| NPI | 1881721868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 1970) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 51392) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-06-18 |